Conservative management of abnormally invasive placenta complicated by local hyperfibrinolysis and beginning disseminated intravascular coagulation.

ABSTRACT:

Introduction

Abnormally invasive placenta (AIP) is often associated with high maternal morbidity. In surgical treatment, caesarean hysterectomy or partial uterine resection may lead to high perioperative maternal blood loss. A conservative treatment by leaving the placenta in utero after caesarean delivery of the baby is an option to preserve fertility and to reduce peripartum hysterectomy-related morbidity. Nevertheless, due to increased placental coagulation activity as well as consumption of clotting factors, a disseminated intravascular coagulation (DIC)-like state with secondary late postpartum bleeding can occur.

Purpose

Systematic review after the presentation of a case of conservative management of placenta percreta with secondary partial uterine wall resection due t

SUBMITTER: Biele C 

PROVIDER: S-EPMC7854425 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature